mHealth Apps Delivering Early Intervention to Support Parents of Children With Autism Spectrum Disorder: A Scoping Review

Indian Pediatrics - Tập 60 - Trang 224-230 - 2023
Rahul Bharat1,2,3, Uzaina2,3,4, Tribhuvanesh Yadav3,5, Sanjay Niranjan3,6, Palomi Kurade4,7
1Child Development Centre, Hillingdon Hospital, Central and North West NHS Trust, London, UK
2Geniuslane, London, UK
3Geniuslane Child Development Centre, Lucknow, Uttar Pradesh, India
4Section of Research and Training, Association of Child Brain Research, Lucknow, Uttar Pradesh, India
5Department of Pediatrics, Global Child Clinic, Lucknow, Uttar Pradesh, India
6Department of Pediatrics, Neo Child Clinic, Lucknow, Uttar Pradesh, India
7Teresian College, Mysore, Karnataka, India

Tóm tắt

Early intervention, and parent-mediated intervention are effective in achieving early childhood development goals for children with autism spectrum disorder. There is a surge in mHealth technologies delivering such interventions. This review aims to explore the concept, context and methodology of implementation of such mHealth apps. A search was conducted using NICE (National Institute of Clinical Excellence) healthcare database, including keyword ‘early intervention,’ ‘mHealth,’ ‘parent support,’ ‘apps,’ and ‘autism.’ The quantitative, qualitative, mixed-methods, case reports, grey literature, systematic reviews, clinical trials, and feasibility studies of children between 2 to 6 years with ASD were included from inception of database to December, 2021. Web/Internet-based or computer-dependent programs were excluded. The initial search yielded 3786 studies; 17 were finally included based on the inclusion and exclusion criteria. Studies on a total of mhealth apps were reviewed. Nine apps, apart from TOBY (Therapy outcome by you), lacked a holistic approach and instead targeted a specific difficulty in autism. The provision of support to parents using apps was equally beneficial as in-person support, reduced costs, and improved outcomes in children. The review revealed limited evidence-based mHealth apps available currently in a community setting. This also underscores an opportunity for clinicians to re-direct parents towards evidence-based information and interventions.

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